Association between Body Mass Index and Migraine

Téllez‐Zenteno, José F.; Pahwa, Dave Rishi; Hernández-Ronquillo, Lizbeth; Garcı́a-Ramos, Guillermo; Velázquez, Antonio

doi:10.1159/000316656

Cited by 18 publications

(23 citation statements)

References 35 publications

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“…These results are in line with our data in showing no significant difference in BMI groups and reduction of headache days with categorization of BMI into only two subgroups (< 25 vs. ≥ 25) and a longer follow-up (twelve months). High BMI was a risk factor for increasing headache frequency in some studies [13,14] but not others [15,16]. Moreover, we could not find an association between smoking and reduction of headache days.…”

Section: Discussioncontrasting

confidence: 82%

Evaluating integrated headache care: a one-year follow-up observational study in patients treated at the Essen headache centre

et al. 2011

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BackgroundOutpatient integrated headache care was established in 2005 at the Essen Headache Centre in Germany. This paper reports outcome data for this approach.MethodsPatients were seen by a neurologist for headache diagnosis and recommendation for drug treatment. Depending on clinical needs, patients were seen by a psychologist and/or physical therapist. A 5-day headache-specific multidisciplinary treatment programme (MTP) was provided for patients with frequent or chronic migraine, tension type headache (TTH) and medication overuse headache (MOH). Subsequent outpatient treatment was provided by neurologists in private practice.ResultsFollow-up data on headache frequency and burden of disease were prospectively obtained in 841 patients (mean age 41.5 years) after 3, 6 and 12 months. At baseline mean headache frequency was 18.1 (SD = 1.6) days per month, compared to measurement at 1 year follow-up a mean reduction of 5.8 (SD = 11.9) headache days per month was observed in 486 patients (57.8%) after one year (TTH patients mean: -8.5 days per month; migraine mean: -3.2 days per month, patients with migraine and TTH mean: -5.9 days per month). A reduction in headache days ≥ 50% was observed in 306 patients (36.4%) independent of diagnosis, while headache frequency remains unchanged in 20.9% and increase in 21.3% of the patient.ConclusionMultidisciplinary outpatient headache centres offer an effective way to establish a three-tier treatment offer for difficult headache patients depending on clinical needs.

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Section: Discussioncontrasting

confidence: 82%

Evaluating integrated headache care: a one-year follow-up observational study in patients treated at the Essen headache centre

et al. 2011

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“…Keith et al [31] found that obese women had increased risk of headache, but not specifically migraine. Téllez-Zenteno et al [32] found that there was no association between the disability and severity of migraine and BMI.…”

Section: Discussionmentioning

confidence: 99%

Body mass index and migraine: a survey of the Chinese adult population

Liu

Yang

et al. 2012

J Headache Pain

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The objective of this study is to evaluate the association between body mass index (BMI) and migraine in general population Chinese cohort. This was a cross-sectional secondary analysis from a general population Chinese cohort of men and women of reproductive and post-reproductive age ranging between 18 and 65 years. Migraine was defined utilizing ICHD criteria. Body mass indices were calculated using measured height and weight and categorized based on the World Health Organizations criteria. The 1-year period prevalence of migraine was 9.3 %. No association was identified between migraine and those with a BMI < 30.0. Compared to those with normal BMI (18.5–23.0), those with BMI ≥ 30 (morbid obesity) had a greater prevalence of migraine (8.6 vs. 13.8 %, p = 0.000). Multivariate-adjusted odds ratio demonstrated that those with morbid obesity had a greater than twofold increased odds of migraine [OR 2.10 (1.39–3.12)] as compared to those with a BMI between 18.5 and 23.0. No association was found between obesity and migraine severity, frequency, or disability. Morbid obesity was associated with twofold increased odds of migraine in this Chinese men and women cohort of predominantly reproductive age.

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“…Similarly, in the study of Keith et al [17], migraine prevalence was not related to obesity but obese women (BMI of 30) had increased risk for headache (but not specifically migraine) as compared with those with BMI. Téllez-Zenteno et al [26] found that there was no association between the disability and severity of migraine and BMI, as well as no correlation between BMI and the frequency and prevalence of migraine was found in the study of Bigal et al [18] in which 176 subjects (79.5% women, mean of 44.4 years) with normal weight (≤ 24.9), overweight (25–29.9), or obesity (≥30) were observed before and after headache preventive treatment. After treatment, frequency declined in the entire population, but no significant differences were found by BMI group.…”

Section: Epidemiological Relationship Between Headache/migraine Anmentioning

confidence: 99%

Obesity and Headache/Migraine: The Importance of Weight Reduction through Lifestyle Modifications

Verrotti

Fonzo

Penta

et al. 2014

BioMed Research International

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The aim of this study is to determine a possible relationship between prevalence, frequency, and severity of migraine and obesity. All pertinent data from the literature have been critically examined and reviewed in order to assess the possible relationship between obesity and migraine, in particular migraine frequency and disability in children, as well as in adult population studies. Prevalence, frequency, and severity of migraine appear to increase in relation to the body mass index, although this evidence is not supported by all the studies examined. Data from literature suggest that obesity can be linked with migraine prevalence, frequency, and disability both in pediatric and adult subjects. These data have important clinical implications and suggest that clinicians should have a special interest for weight reduction of obese children suffering from migraine, prescribing and supporting intensive lifestyle modifications (dietary, physical activities, and behavioral) for the patient and the entire family.

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Association between Body Mass Index and Migraine

Cited by 18 publications

References 35 publications

Evaluating integrated headache care: a one-year follow-up observational study in patients treated at the Essen headache centre

Evaluating integrated headache care: a one-year follow-up observational study in patients treated at the Essen headache centre

Body mass index and migraine: a survey of the Chinese adult population

Obesity and Headache/Migraine: The Importance of Weight Reduction through Lifestyle Modifications

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